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Background: A healthy lifestyle program that appeals to, and supports, obese New Zealand (NZ) European, Māori (indigenous) and Pasifika men to achieve weight loss is urgently needed. In Scotland, Football Fans in Training (FFIT), a weight management and healthy lifestyle program for overweight and obese men aged 35-65 years , delivered by community coaching staff at professional football clubs, has been shown to be beneficial and cost-effective. A pilot program inspired by FFIT but delivered by professional rugby clubs in NZ (n = 96) was shown to be effective in weight loss, improved physiological outcomes, and adherence to healthy lifestyle behaviors in overweight and obese men. The objective of this trial is to determine the effectiveness and cost-effectiveness of the Rugby Fans in Training New Zealand (RUFIT-NZ) program.

Methods: A pragmatic, two-arm, multi-center, randomized controlled trial involving 308 overweight and obese men aged 30-65 years, randomized to either an intervention group (n = 154) or a wait-list control group (n = 154). The intervention-group participated in the 12-week RUFIT-NZ program, a gender-sensitized, healthy lifestyle intervention adapted to the environment and cultural diversity of NZ and delivered through professional rugby clubs. Participants in the intervention group undergo physical training sessions, in addition to workshop-based sessions to learn about nutrition, physical activity, sleep, sedentary behavior, and a range of behavior-change strategies for sustaining a healthier lifestyle. The control group receives the program after 52 weeks. The primary outcome is change in body weight from baseline to 52 weeks. Secondary outcomes include change in body weight at 12 weeks; waist circumference, blood pressure, fitness, and lifestyle behaviors at 12 and 52 weeks; and cost-effectiveness. A process evaluation informed by the RE-AIM framework will evaluate potential implementation of RUFIT-NZ as an ongoing program in NZ after the trial.

Discussion: This trial will investigate the effectiveness and cost-effectiveness of the RUFIT-NZ program in overweight and obese NZ men.

Trial Registration: Australia New Zealand Clinical Trials Registry, ACTRN12619000069156. Registered on 18 January 2019, according to the World Health Organization Trial Registration Data Set. Universal Trial Number, U1111-1245-0645.

Titel:	Rugby Fans in Training New Zealand (RUFIT-NZ): protocol for a randomized controlled trial to assess the effectiveness and cost-effectiveness of a healthy lifestyle program for overweight men delivered through professional rugby clubs in New Zealand.
Autor/in / Beteiligte Person:	Maddison, R ; Hargreaves, EA ; Jiang, Y ; Calder, AJ ; Wyke, S ; Gray, CM ; Hunt, K ; Lubans, D ; Eyles, H ; Draper, N ; Heke, I ; Kara, S ; Sundborn, G ; Arandjus, C ; Jenkins, M ; Marsh, S
Link:	Full Text Finder (Volltext)
Zeitschrift:	Trials, Jg. 21 (2020-02-04), Heft 1, S. 139
Veröffentlichung:	[London] : BioMed Central, 2006-, 2020
Medientyp:	academicJournal
ISSN:	1745-6215 (electronic)
DOI:	10.1186/s13063-019-4038-4
Schlagwort:	Adult Aged Cost-Benefit Analysis Exercise Health Behavior Humans Male Middle Aged New Zealand Sedentary Behavior Waist Circumference Weight Loss Fitness Centers Football Healthy Lifestyle Multicenter Studies as Topic Obesity therapy Pragmatic Clinical Trials as Topic Weight Reduction Programs economics Weight Reduction Programs methods
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Clinical Trial Protocol; Journal Article Language: English [Trials] 2020 Feb 04; Vol. 21 (1), pp. 139. <i>Date of Electronic Publication: </i>2020 Feb 04. MeSH Terms: Fitness Centers* ; Football* ; Healthy Lifestyle* ; Multicenter Studies as Topic* ; Pragmatic Clinical Trials as Topic* ; Obesity / therapy ; Weight Reduction Programs / economics ; Weight Reduction Programs / *methods ; Adult ; Aged ; Cost-Benefit Analysis ; Exercise ; Health Behavior ; Humans ; Male ; Middle Aged ; New Zealand ; Sedentary Behavior ; Waist Circumference ; Weight Loss References: Int J Behav Nutr Phys Act. 2017 Feb 23;14(1):24. (PMID: 28231794) ; Appl Health Econ Health Policy. 2012 May 1;10(3):145-62. (PMID: 22439628) ; Patient Educ Couns. 2001 Aug;44(2):119-27. (PMID: 11479052) ; J Sport Exerc Psychol. 2014 Apr;36(2):189-202. (PMID: 24686955) ; Qual Life Res. 2004 Feb;13(1):271-4. (PMID: 15058808) ; Lancet. 2012 Dec 15;380(9859):2224-60. (PMID: 23245609) ; BMC Public Health. 2008 Jul 26;8:259. (PMID: 18655723) ; Health Educ Res. 2006 Oct;21(5):688-94. (PMID: 16945984) ; Sports Med. 1988 Mar;5(3):185-95. (PMID: 3368685) ; Ann Intern Med. 2013 Feb 5;158(3):200-7. (PMID: 23295957) ; BMC Public Health. 2013 Mar 16;13:232. (PMID: 23496915) ; Health Psychol. 2009 Nov;28(6):690-701. (PMID: 19916637) ; J Biomed Inform. 2009 Apr;42(2):377-81. (PMID: 18929686) ; Trials. 2017 Jul 27;18(1):356. (PMID: 28750673) ; Sociol Health Illn. 2016 Jun;38(5):812-28. (PMID: 26864994) ; Arch Intern Med. 1998 Sep 14;158(16):1789-95. (PMID: 9738608) ; Lancet. 2014 Apr 5;383(9924):1211-21. (PMID: 24457205) ; BMC Public Health. 2019 Feb 8;19(1):166. (PMID: 30736781) ; J Prim Health Care. 2011 Mar 01;3(1):66-71. (PMID: 21359266) ; Lancet. 2001 Apr 14;357(9263):1191-4. (PMID: 11323066) ; Can J Sport Sci. 1992 Dec;17(4):338-45. (PMID: 1330274) ; BMJ. 2001 Nov 3;323(7320):1058-60. (PMID: 11691768) ; Psychol Health. 2011 Nov;26(11):1479-98. (PMID: 21678185) ; BMC Public Health. 2014 Jan 21;14:50. (PMID: 24443845) ; BMC Health Serv Res. 2008 Jul 03;8:141. (PMID: 18598339) ; Pharmacoeconomics. 2006;24(3):281-92. (PMID: 16519549) ; Implement Sci. 2013 Feb 12;8:17. (PMID: 23402558) ; Med Sci Sports Exerc. 2017 Dec;49(12):2506-2516. (PMID: 28719494) ; Obes Rev. 2012 May;13(5):393-408. (PMID: 22212529) ; PLoS Med. 2019 Feb 5;16(2):e1002736. (PMID: 30721231) ; Br J Soc Psychol. 2013 Dec;52(4):597-617. (PMID: 23121468) ; Int J Behav Nutr Phys Act. 2018 Jun 28;15(1):60. (PMID: 29954449) ; J Biomed Inform. 2019 Jul;95:103208. (PMID: 31078660) ; Am J Mens Health. 2018 Nov;12(6):2157-2166. (PMID: 30234419) ; Int J Behav Nutr Phys Act. 2008 Sep 05;5:44. (PMID: 18775062) ; BMJ Open. 2018 Oct 17;8(10):e022663. (PMID: 30337315) ; PLoS One. 2016 Mar 15;11(3):e0150205. (PMID: 26978655) ; BMC Public Health. 2012 Mar 19;12:206. (PMID: 22429600) Grant Information: 18/513 Health Research Council of New Zealand Contributed Indexing: Keywords: Lifestyle Intervention; Men’s health; Obesity; Physical activity; Weight loss Entry Date(s): Date Created: 20200206 Date Completed: 20201124 Latest Revision: 20201124 Update Code: 20231215 PubMed Central ID: PMC7001306

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Rugby Fans in Training New Zealand (RUFIT-NZ): protocol for a randomized controlled trial to assess the effectiveness and cost-effectiveness of a healthy lifestyle program for overweight men delivered through professional rugby clubs in New Zealand.